Hansen, Mary Creer
Hansen, Mary Creer is an sole proprietor health care provider with primary practice located at 777 S Wadsworth Blvd 4-170, Lakewood CO 80226-4300. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Hansen, Mary Creer can be contacted via phone (303) 980-8111.Contact Information
Primary practice address
777 S Wadsworth Blvd 4-170
Lakewood CO 80226-4300
Phone: (303) 980-8111
Fax: (303) 722-0209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 471 | Colorado |
Profile Details
| NPI number | 1861416760 |
|---|---|
| LBN Legal business name | Hansen, Mary Creer |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Feb 13th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861416760 | NPPES |
| Colorado | MEDICAID | 9612 |
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